Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology
Enumerated
Mar 2, 2012
License(s)
2012-02350 (NC), 2012-02350 (NC), 2012-02350 (NC), 2012-02350 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1021 MOREHEAD MEDICAL DR STE A | Charlotte, NC 28204-2990 | 980-442-2000 |
| MAILING | PO BOX 19305 | Charlotte, NC 28219-9305 |
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